Gianluca Vanni1, Jacopo Maria Legramante2,3, Marco Pellicciaro4, Gerardo DE Carolis5, Maria Cotesta1, Marco Materazzo1, Chiara Buonomo6, Andrea Farinaccio6, Francesca Santori1, Federica Saraceno3, Benedetto Ielpo7, Francesco Aiello8, Carla Paganelli3, Michele Grande9, Girolamo DE Andreis10, Marcello Chiocchi11, Leonardo Palombi12, Oreste Claudio Buonomo1. 1. Breast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy. 2. Department of Medical Systems, Università di Tor Vergata, Rome, Italy. 3. Emergency Department, Policlinico Tor Vergata, Rome, Italy. 4. Breast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy marcopell62@gmail.com. 5. Health Management, Fondazione PTV, Rome, Italy. 6. Department of Emergency and Admission, Critical Care Medicine, Pain Medicine and Anes-thetic Science, Policlinico Tor Vergata University, Rome, Italy. 7. Parc Salut Mar University Hospital, Barcelona, Spain. 8. Ophthalmology Unit, Department of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy. 9. Department of General and Emergency Surgery, University of Tor Vergata, Rome, Italy. 10. RN, MSN, Tor Vergata University Hospital, Rome, Italy. 11. Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radio-therapy, University of Rome Tor Vergata, Rome, Italy. 12. Department of Biomedicine and Prevention, Policlinico Tor Vergata University, Rome, Italy.
Abstract
BACKGROUND/AIM: SARS-CoV-2 pandemic imposed extraordinary restriction measures and a complete reorganization of the Health System. The aim of the study was to evaluate the impact of COVID-19 on emergency surgical department accesses. PATIENTS AND METHODS: Patients admitted to surgical emergency departments was retrospectively recorded during the Lockdown (March 11, 2020-May 3, 2020) and compared with the same number of days in 2019 and immediately before Lockdown (January 16, 2020-March 10, 2020). Diagnoses, priority levels, modes of patient's transportation, waiting times and outcomes were analysed. RESULTS: During the lockdown phase, we ob-served a reduction in the access to emergency surgical departments of 84.45% and 79.78%, com-pared with the Pre-Lockdown2019 and Pre-Lockdown2020 groups, respectively. Patient's transportation, hospitalization and patients discharge with indications to an outpatient visit, waiting and total times exhibited a significant difference during the lockdown (p<0.005). CONCLUSION: We observed a reduction of surgical emergency accesses during the lockdown. Implementing the use of the regional systems and preventing overcrowding of emergency departments could be beneficial for reducing waiting times and improving the quality of treatments for patients. Copyright
BACKGROUND/AIM: SARS-CoV-2 pandemic imposed extraordinary restriction measures and a complete reorganization of the Health System. The aim of the study was to evaluate the impact of COVID-19 on emergency surgical department accesses. PATIENTS AND METHODS: Patients admitted to surgical emergency departments was retrospectively recorded during the Lockdown (March 11, 2020-May 3, 2020) and compared with the same number of days in 2019 and immediately before Lockdown (January 16, 2020-March 10, 2020). Diagnoses, priority levels, modes of patient's transportation, waiting times and outcomes were analysed. RESULTS: During the lockdown phase, we ob-served a reduction in the access to emergency surgical departments of 84.45% and 79.78%, com-pared with the Pre-Lockdown2019 and Pre-Lockdown2020 groups, respectively. Patient's transportation, hospitalization and patients discharge with indications to an outpatient visit, waiting and total times exhibited a significant difference during the lockdown (p<0.005). CONCLUSION: We observed a reduction of surgical emergency accesses during the lockdown. Implementing the use of the regional systems and preventing overcrowding of emergency departments could be beneficial for reducing waiting times and improving the quality of treatments for patients. Copyright
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